TY  - JOUR
A1  - Kettner, Mattias
A1  - Birngruber, Christoph Gerhard
A1  - Niess, Constanze
A1  - Baz Bartels, Marco
A1  - Bunzel, Lena Maria
A1  - Verhoff, Marcel A.
A1  - Lux, Constantin Peter
A1  - Ramsthaler, Frank
T1  - Mongolian spots as a finding in forensic examinations of possible child abuse - implications for case work
T2  - International journal of legal medicine
N2  - Mongolian spots (MS) are congenital dermal conditions resulting from neural crest-derived melanocytes migration to the skin during embryogenesis. MS incidences are highly variable in different populations. Morphologically, MS present as hyperpigmented maculae of varying size and form, ranging from round spots of 1 cm in diameter to extensive discolorations covering predominantly the lower back and buttocks. Due to their coloring, which is also dependent on the skin type, MS may mimic hematoma thus posing a challenge on the physician conducting examinations of children in cases of suspected child abuse. In the present study, MS incidences and distribution, as well as skin types, were documented in a collective of 253 children examined on the basis of suspected child abuse. From these data, a classification scheme was derived to document MS and to help identify cases with a need for recurrent examination for unambiguous interpretation of initial findings alongside the main decisive factors for re-examination such as general circumstances of the initial examination (e. g., experience of the examiner, lighting conditions) and given dermatological conditions of the patient (e. g., diaper rash).
KW  - Mongolian spot
KW  - MS
KW  - Child abuse
KW  - Forensic examination
KW  - Nevus of Ito
KW  - Nevus of Ota
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/81329
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-813295
SN  - 1437-1596
N1  - Open Access funding provided by Projekt DEAL.
VL  - 134
IS  - 3
SP  - 1141
EP  - 1148
PB  - Springer ; HeinOnline
CY  - Berlin ; Heidelberg ; Getzville, NY
ER  -